A: It is very common for women who experience difficulties or disruptions with breastfeeding to experience postnatal mental health disorders, particularly if they were intending to breastfeed prior to giving birth. Many mothers and professionals are under the misconception that as long as the mother can (physically) breastfeed, they should. It is key to take the mother's mental health into account, as we know it has a significant longterm impact on a child's emotional wellbeing, social functioning (attachment style), and their overall growth and development. Therefore, if you're not doing well emotionally, it may be time to consider a change.

1. I'd encourage you to speak to a mental health professional about these feelings to evaluate if they are above what is expected for your stage postpartum.

There are 3 factors beneath the surface:

1. At this age children’s separation anxiety peaks and they become aware that they are differentiated and separate from their parents. Toddlers feel overwhelmed and a variety of emotions and tension starts simmering under the surface.

2. Children’s communication is still developing. Tantrums are their way of expressing their feelings where they don't have enough words to express them.

3. Toddlers operate from their downstairs brain while their upstairs brain is still developing. This part of the brain is not capable of skills such as reasoning, logical thinking, understanding consequences, and emotional regulation.

Strategies to support you through this phase:

1. Welcome their feelings but limit the behaviors. When your child is in the middle of the tantrum, they are offline. Let them go through it while trying to contain the behavior by moving away whenever possible to safer, less corded, and calmer spots at home or in public.

2. Spend more time engaging in brain friendly  toddler activities together (sensory play, active outdoor play). This can support their emotional regulation as their brain is developing.

3. Replace reasoning and giving directions with simply labeling what you see. Help them co-regulate by saying out loud what you're seeing and labeling things for them instead of logical reasoning with them  and wait for the storm to pass. (e.g., “ I see that you want to get your toy and it’s making you upset that it’s not here”).

4. Prepare. Reflect on places, items, or needs that frequently trigger their tantrums and work around them whenever possible.

5. Children thrive in routine. Establish a predictable routine for their needs and activities. Attending nursery can add more structure to their day.

6. Take care of yourself. This is an overwhelming experience for both you and your toddlers. Your feelings of anger, helplessness, or frustration are valid. Practice self-regulating techniques during the tantrum (e.g., belly breathing, recall what is in your control and what isn't).

When to seek professional help?

With all the above in mind, if tantrums become more frequent, intense, last longer, cause them harm or injury,  you find yourself losing control or struggling with frequent feelings of anger or loss of control consider consulting with an early childhood specialists such as child and parenting psychologists, pediatric occupational therapist, or speech and language therapists if there are communication difficulties.

Please let us know if you have any further questions.

Speech & Language Therapist, Dalia Alzyod at The Lighthouse Center